Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09496 | Date 20/04/2021 |
| Token No | SM/21-22/621 20/04/2021 | Serial | 030 Last Visit: 20/04/2021 |
| Patient Name | Miss BIDISHA NASKAR | Contact No | 9674175417 |
| Address | CHATRA SITALA TALA | Age | 8 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||